Healthcare Provider Details

I. General information

NPI: 1952492274
Provider Name (Legal Business Name): TERRY H ALBERT M.S.,C.R.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 MINERAL SPRINGS AVE
KNOXVILLE TN
37917-1562
US

IV. Provider business mailing address

8340 FARANDA WAY
KNOXVILLE TN
37931-5406
US

V. Phone/Fax

Practice location:
  • Phone: 865-687-4537
  • Fax: 865-687-5367
Mailing address:
  • Phone: 865-687-4537
  • Fax: 865-687-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number7651
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: